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目的分析支架置入术后行腹腔镜治疗结直肠癌并肠梗阻的时间。方法选取在我院接受治疗的结直肠癌并肠梗阻患者,根据支架放入后到腹腔镜手术治疗的间隔时间将其分为A、B、C、D四组。记录各组患者的手术时间、淋巴结清除的数量、术中的出血量、围手术期的并发症、术后肛门的排气时间以及住院的时间,比较分析。结果四组患者在手术时间、淋巴结清除的数量、术中的出血量、围手术期的并发症、术后肛门的排气时间以及住院的时间上无明显差异。结论支架置入后,待患者情况稳定、手术耐受性好时,3~16d内进行腹腔镜手术治疗是安全可行的。
Objective To analyze the time of laparoscopic treatment of colorectal cancer and intestinal obstruction after stent implantation. Methods Patients with colorectal cancer and intestinal obstruction treated in our hospital were divided into A, B, C, and D groups according to the interval between laparoscopic surgery and stent placement. The operation time, the number of lymph node clearance, intraoperative blood loss, perioperative complications, postoperative anal exhaust time and hospital stay were compared between the two groups. Results There was no significant difference between the four groups in operation time, the number of lymph node clearance, intraoperative blood loss, perioperative complications, postoperative anal exhaust time and hospitalization time. Conclusion After stent implantation, when patients are in stable condition and the operation is well tolerated, laparoscopic surgery within 3 ~ 16 days is safe and feasible.